These slides were presented by Respina Chintalova-Dallas during JSI’s Index Testing & Partner Notification for HIV Epidemic Control webinar on April 11th, 2019. Chintalova-Dallas is currently a Senior Technical Adviser on the AIDSFree project managing the HIV testing services portfolio with a focus on index testing and partner notification. The AIDSFree Project, a five year initiative funded by USAID and PEPFAR and implemented by JSI, improves the quality and effectiveness of high-impact, evidence-based HIV interventions—such as HIV testing, treatment, prevention of mother-to-child transmission (PMTCT), voluntary medical male circumcision (VMMC), and condom promotion—in order to meet country-specific objectives.

1. JSI’s IndexTesting and
Partner Notification
Resources
Repsina Chintalova-Dallas, MPH
Senior Technical Advisor,AIDSFree
April 11, 2019

2. AIDSFree
USAID-funded, JSI-led 5-year project (2014–2019)
• Focus on HIV prevention, diagnosis, treatment, &
careComprehensive HIV prevention, care, treatment, support
• Capacity building, service expansion, infrastructure strengthening for
epidemic control
• Interventions for and with men, women, girls, boys, key populations
• Broad partnerships engaging government, private sector,
communities
Project Goal
• Building sustainable, country-owned HIV programs
• Aligning with country/international targets for epidemic control

3. AIDSFree Strategies
• Comprehensive, evidence-informed HIV services
• Capacity building, service expansion, infrastructure
strengthening for epidemic control
• Interventions for and with men, women, boys, girls, key
populations
• Broad partnerships engaging government, private sector,
providers, communities

4. Partner Notification
Handbook
Publically Available at:
https://aidsfree.usaid.gov/resources/partner-
notification-handbook-designing-and-
implementing-programs-and-services
• Provides evidence and best practices for
development and scaling of PN programs
• Highlights critical areas for implementing high
quality PN services
• Helps identify individual country barriers
• Provides samples of all forms necessary for
implementation.

6. Flowchart is based on JSI (AIDSFree, Advancing Partners and
Communities) experience working to roll-out & document
index testing
Challenges encountered:
• Ensuring correct information is collected to evaluate this
strategies' contribution to the halting the epidemic
• Ensuring data collected is aligned with MERs, for DATIM
submission
Uses of the flow chart:
• Introduction to index testing
• Documentation/ M&E tool
IndexTesting Flowchart

7. Newly diagnosed HIV
infected individuals
Agrees to
participate in
partner notification
Lists sexual
partners, drug-
injecting partners,
& children
Partners and
children found
Agrees to be
tested for HIV
Tests HIV positive
Enrolled into care
and treatment
Tests HIV
negative
Does not agree to
be tested for HIV
Partners and
children not found
Does not agree to
participate in
partner notification
HTS_TST_POS_
(Non Index)
(Patient 0 found via non
index strategy)
Patient 0 agrees to
take part in APN
HTS _ Index
(while not the index patient
person found through an
index strategy of outreach
HTS _ Index _Pos
Check for double
counting
TX_New
HTS_Index_ Neg
If patient tests
positive through
index based
strategy, that person
should be offered
partner notification
services
• Document why
individual declines
APN
• Repeat offers of APN
• Document why individual
declines HIV test
• Repeat offers of HIV test
Flowchart to Document Steps for
Index-BasedTesting

8. No. PLHIV offered
VPR services
483
No. PLHIV
accepted VPR
197
No. sexual partners
identified
143
No. sexual partners
tested for HIV and
received test result
116
No. sexual
partners HIV
positive
33
No. HIV positive
sexual partners
initiated ART
26
No. sexual partners did
not receive an
HIV test
27
No. PLHIV
Not Eligible
176
No. PLHIV did
not accept VPR
110
APCVoluntary Partner Referral (VPR) Strategy Flow Chart:
FY19 Q1
HTS_INDEX
_ POS
TX_NEW
HTS_INDEX
_NEG
22.8%
HTS_INDEX
40.8% 36.4%
81.1%
18.9%
28.4% 71.6%
78.8%
Index
Case
No. sexual partners
HIV negative
83

9. Guidance Database
The AIDSFree Guidance Database brings together national HIV
testing and treatment guidance and HIV/TB co-infection treatment
guidance from many priority countries around the world.
This interactive database helps prepare guideline revisions for a
specific country, conduct research and product development, prepare
training materials for health care personnel, write proposals and
grants, or learn about guidelines from other countries.
The database currently includes guidelines from 47 countries.
https://aidsfree.usaid.gov/resources/guidance-data/hts